Japanese
Title骨シンチグラフィ用製剤99mTc-HMDPにより部位診断されたRhabdomyolysisの一例
Subtitle症例報告
Authors沢田尚久*, 岡室周英*, 坂井龍太*, 辻康裕*, 高橋徹*, 國重宏*
Authors(kana)
Organization*松下記念病院第三内科
Journal核医学
Volume29
Number8
Page1029-1033
Year/Month1992/8
Article報告
Publisher日本核医学会
Abstract「要旨」99mTc-hydroxy methylene diphosphonateを使用したシンチグラムを行い, 部位診断をなし得たRhabdomyolysisの一症例を経験したので報告した. 症例は85歳男性で, 転倒し右半身を打撲, その後右上腕部痛が持続するため当科を受診した. 初診時の血液検査にてCPK 5,385IU/L, GOT 114IU/L, LDH 701IU/L, myoglobin 1,100ng/ml, aldolase 13.8IU/Lと高値を呈し, 99mTc-HMDPシンチグラムにて右上腕部に高度集積像を認め, 同部位の打撲によるRhabdomyolysisと診断した. Rhabdomyolysisの診断および経過観察として99mTc-HMDPをはじめ骨シンチグラムは有用であると考えられた.
Practice臨床医学：一般
Keywords99mTc-hydroxy methylene diphosphonate scintigraphy, Rhabdomyolysis.
English
TitleA Case of Unusually Muscle Localization of 99mTc-Hydroxy Methylene Diphosphonate Scintigraphy in a Patient with Acute Rhabdomyolysis
SubtitleCase Report
AuthorsTakahisa SAWADA, Shuei OKAMURO, Ryuta SAKAI, Yasuhiro TSUJI, Toru TAKAHASHI, Hiroshi KUNISHIGE
Authors(kana)
OrganizationThird Department of Internal Medicine, Matsushita Memorial Hospital
JournalThe Japanese Journal of nuclear medicine
Volume29
Number8
Page1029-1033
Year/Month1992/8
ArticleReport
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary]A 85-year-old man was admitted with a history of right upper arm pain following trauma. Laboratory studies included an initial CPK level of 5,385 IU/liter. Other laboratory values were GOT, 114 IU/L; LDH, 701 IU/L; myoglobin, 1,100 ng/ml; aldolase, 13.8 IU/L. The patient was presumed to have have rhabdomyolysis. A 99mTc-hydroxy methylene diphosphonate (99mTc-HMDP) scan revealed an increased uptake in the right shoulder area. 99mTc-HMDP scan is a sensitive indicator of local skeletal muscle injury in rhabdomyolysis.
PracticeClinical medicine
Keywords99mTc-hydroxy methylene diphosphonate scintigraphy, Rhabdomyolysis.

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